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The relationship between pain severity and alcohol use among school-aged children and adolescents : the moderating role of drinking motives

(2018) PAIN MEDICINE. 19(2). p.284-296
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Abstract
Objective. Evidence from adult samples suggests a co-occurrence between pain and alcohol abuse. However, studies in adolescents are scarce and results are inconsistent, with some studies observing heightened and others observing reduced alcohol consumption in adolescents suffering from pain. We hypothesized that in adolescents the association between pain and alcohol use will be moderated by drinking motives. Methods. Data from a large representative sample of Flemish school children and adolescents (N = 10,650, 50.8% boys, age range = 10-21 years, M-age = 514.33 years) were collected as part of the World Health Organization collaborative Health Behaviour in School-Aged Children (HBSC) survey. Pain severity was graded based on a pediatric pain classification system that accounts for both pain intensity and disability. Alcohol consumption was operationalized using two variables: frequency of drinking and drunkenness. The Drinking Motives Questionnaire-Revised was used to capture drinking motives; it assesses four motive categories (enhancement, coping, social, and conformity). Results. Findings indicated that higher pain severity was associated with greater frequency of alcohol use and drunkenness. However, drinking motives moderated this association. The positive association between pain severity and drinking frequency was stronger in case of high conformity motives. Likewise, the association between pain severity and drunkenness frequency was stronger at high levels of conformity motives and reached significance only at high levels of coping motives. Conclusions. Our findings suggest that specific drinking motives are linked to problematic alcohol use in adolescents with pain. Future studies using a longitudinal design are needed to draw conclusions about direction of effects.
Keywords
LOW-BACK-PAIN, HEALTH BEHAVIOR, MOTIVATIONAL MODEL, COMMUNITY SAMPLE, PEDIATRIC PAIN, UNITED-STATES, YOUNG-PEOPLE, NECK PAIN, DMQ-R, PERSONALITY, Pediatric Pain, Chronic Pain, Drinking Motives, Alcohol, Adolescents

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MLA
Horn-Hofmann, Claudia, Zina Trost, Anne Hublet, et al. “The Relationship Between Pain Severity and Alcohol Use Among School-aged Children and Adolescents : the Moderating Role of Drinking Motives.” PAIN MEDICINE 19.2 (2018): 284–296. Print.
APA
Horn-Hofmann, C., Trost, Z., Hublet, A., Mrug, S., Van Damme, J., & Vervoort, T. (2018). The relationship between pain severity and alcohol use among school-aged children and adolescents : the moderating role of drinking motives. PAIN MEDICINE, 19(2), 284–296.
Chicago author-date
Horn-Hofmann, Claudia, Zina Trost, Anne Hublet, Sylvie Mrug, Joris Van Damme, and Tine Vervoort. 2018. “The Relationship Between Pain Severity and Alcohol Use Among School-aged Children and Adolescents : the Moderating Role of Drinking Motives.” Pain Medicine 19 (2): 284–296.
Chicago author-date (all authors)
Horn-Hofmann, Claudia, Zina Trost, Anne Hublet, Sylvie Mrug, Joris Van Damme, and Tine Vervoort. 2018. “The Relationship Between Pain Severity and Alcohol Use Among School-aged Children and Adolescents : the Moderating Role of Drinking Motives.” Pain Medicine 19 (2): 284–296.
Vancouver
1.
Horn-Hofmann C, Trost Z, Hublet A, Mrug S, Van Damme J, Vervoort T. The relationship between pain severity and alcohol use among school-aged children and adolescents : the moderating role of drinking motives. PAIN MEDICINE. Oxford: Oxford Univ Press; 2018;19(2):284–96.
IEEE
[1]
C. Horn-Hofmann, Z. Trost, A. Hublet, S. Mrug, J. Van Damme, and T. Vervoort, “The relationship between pain severity and alcohol use among school-aged children and adolescents : the moderating role of drinking motives,” PAIN MEDICINE, vol. 19, no. 2, pp. 284–296, 2018.
@article{8580650,
  abstract     = {Objective. Evidence from adult samples suggests a co-occurrence between pain and alcohol abuse. However, studies in adolescents are scarce and results are inconsistent, with some studies observing heightened and others observing reduced alcohol consumption in adolescents suffering from pain. We hypothesized that in adolescents the association between pain and alcohol use will be moderated by drinking motives. Methods. Data from a large representative sample of Flemish school children and adolescents (N = 10,650, 50.8% boys, age range = 10-21 years, M-age = 514.33 years) were collected as part of the World Health Organization collaborative Health Behaviour in School-Aged Children (HBSC) survey. Pain severity was graded based on a pediatric pain classification system that accounts for both pain intensity and disability. Alcohol consumption was operationalized using two variables: frequency of drinking and drunkenness. The Drinking Motives Questionnaire-Revised was used to capture drinking motives; it assesses four motive categories (enhancement, coping, social, and conformity). Results. Findings indicated that higher pain severity was associated with greater frequency of alcohol use and drunkenness. However, drinking motives moderated this association. The positive association between pain severity and drinking frequency was stronger in case of high conformity motives. Likewise, the association between pain severity and drunkenness frequency was stronger at high levels of conformity motives and reached significance only at high levels of coping motives. Conclusions. Our findings suggest that specific drinking motives are linked to problematic alcohol use in adolescents with pain. Future studies using a longitudinal design are needed to draw conclusions about direction of effects.},
  author       = {Horn-Hofmann, Claudia and Trost, Zina and Hublet, Anne and Mrug, Sylvie and Van Damme, Joris and Vervoort, Tine},
  issn         = {1526-2375},
  journal      = {PAIN MEDICINE},
  keywords     = {LOW-BACK-PAIN,HEALTH BEHAVIOR,MOTIVATIONAL MODEL,COMMUNITY SAMPLE,PEDIATRIC PAIN,UNITED-STATES,YOUNG-PEOPLE,NECK PAIN,DMQ-R,PERSONALITY,Pediatric Pain,Chronic Pain,Drinking Motives,Alcohol,Adolescents},
  language     = {eng},
  number       = {2},
  pages        = {284--296},
  publisher    = {Oxford Univ Press},
  title        = {The relationship between pain severity and alcohol use among school-aged children and adolescents : the moderating role of drinking motives},
  url          = {http://dx.doi.org/10.1093/pm/pnx016},
  volume       = {19},
  year         = {2018},
}

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